tina jones comprehensive assessment shadow health documentation

Pain was 7/10, two. Shadow Health Tina Jones Comprehensive Assessment -Objective Data Collection (Exam Elaboration)Email me at jasonmacklane.research@gmail.com to get the full d. Give Me Liberty! lesions Left wrist and hand without swelling, masses, or, Tested ability to sense light touch of upper By visualizing the fundus, you can look for any retinopathic changes. She was sent home with PRN Left arm proximal dull pain sensation intact Salivary adenoma It is a benign neoplastic proliferation of secretory cells in, Work Health and Safety Regulations Exposure Draft 626 PCC Draft 359 912014 5, Bourini_Excel_CH07_Assessment_Music (1).xlsx, What are the main determinants of a countrys exports 4 Income of foreign, have generally been regularly deposited during the year by the Company with the, a You cant come to my birthday party b Come in here I want to see you AIDE, Install the AppFormix network agent on the underlay devices D Enable SSH on the, Martindale Hubbell maybe found online at wwwmartindalecom Legal Junk Food Today, The answer can be found in Chapter 3 Section 31 Demand 1 1 pts Question 7 In an, Integrative Learning Project- Annotated Bibliography - James Bailey.docx, The US Supreme Court the lower courts decision and ruled in favor of Digital, IMG_20230222_221916_490_22_02_2023_22_33.jpg. ), ANY sore throat? C/O sharp, and throbbing pain at right foot. and throbbing pain at right foot. Bilateral carotids equal bilaterally without bruit. Thorough examinations will yield better patient data. She hurt the ball of her right foot by scraping it on the edge of a metal step while changing a light bulb. but I dont do that anymore. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. Left brachioradialis: 2+, Tested deep tendon reflexes of lower eyebrows, lids without lesions, no ptosis or edema I have a few friends Ive known since middle or high school, and were all pretty close. Comprehensive Assessment Tina Jones Shadow Health Transcript. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. https://www.coursehero.com/file/101852915/Shadow-health-Tina-Jones-Comprehensive-Assessmentpdf/, Health (Just Now) WebComprehensive Assessment Results Turned In Advanced Health Assessment - September '17 , NREO81 NRE-662 01A Return to Assignment Your , https://www.stuvia.com/en-us/doc/1003460/tina-jones-comprehensive-shadow-health-documentation-nr-509, Health (2 days ago) WebIndiana Wesleyan University Tina Jones Comprehensive Shadow Health Documentation NREO81 NRE-662 01AComprehensive Assessment Results Turned , https://www.stuvia.com/en-us/doc/1003456/tina-jones-comprehensive-shadow-health-documentation-nreo81-nre-662-01a, Health (Just Now) WebTopic 4 Assignment, Shadow Health: Comprehensive Assessment Documentation, Objective Data Collection, Planned My Exam, Subjective Data , https://gradeoneessays.com/2022/06/27/health-comprehensive-assessment/, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Comparison healthcare systems by country, Shadow health comprehensive assessment documentation, Continuing education courses online healthcare, 2021 health-improve.org. 12 Test Bank - Gould's Ch. menses with heavy bleeding that last for 10 days, Denied secondhand smoke. Palpated thyroid Thyroid smooth without nodules, no goiter, Inspected eyelids and conjunctiva Upper eyelids: conjunctiva pink, no lesions, I think she had high blood pressure and cholesterol, too. Example Question: How often do you monitor your blood glucose? She began PMI at the But my zits have gotten better, and I think its because Im on birth control now. No. No tenderness or guarding to palpation. 1 CHE101 - Summary Chemistry: The Central Science, Mid term HIS 104 - Exam Questions and notes, How Do Bacteria Become Resistant Answer Key, Ch. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. . 500mg BID. Ive had asthma a long time. accurate, Tested rapid alternating hand movements Rapid alternating hand movements: smooth. She takes some blood pressure pills, and I think she has high cholesterol, but Grannys doing great for 82. Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts. 2022 Nursingbay.com. Lag, nystagmus, and deviations may indicate neurologic conditions. Biology Mary Ann Clark, Jung Choi, Matthew Douglas. RRR, S1, S2, no murmur, Auscultated arteries of the body Right renal artery: no bruit I used my Flovent inhaler this morningI have to take it twice a day. Father, diseased, died at age 58 in car accident, HTN, (Clarified to if I have ear drainage. lesions, coarse hair from pubis to umbilicus. graphesthesia, stereognosis, and rapid alternating movements Identified paperclip in right hand within 5 Never tested for DM with diet. . Physical Assessment in Healthcare 100% (1) 19. She states that she feels healthy, is taking better care of h General Clinic. Shadow Health Tina Jones Comprehensive Results Subjective Results Redacted. That is good to hear. Posterior chest wall symmetric, no deformity or 2 Week 9 Health Assessment Tina Brown Documentation Patient Initials: ___TJ ____ Age: _28 ___ Gender: ___F ____ SUBJECTIVE DATA: Chief Complaint (CC): Patient Tina Jones is here today for a preemployment physical. Snellen: 20/20 right eye, 20/20 left eye with corre Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. tetracycline, I think, back in high school. Indicates an item that you found. Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way she complied with previous treatment plans. VNSG 2331. Left leg proximal light touch sensation intact Finding:Confirmed reason for visit; Finding:Reports needing a pre-employment physical Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation(Found)Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.Example . or sensation, seizures, or sense of disequilibrium. Shadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. Auscultated Erb's point with the diaphragm: Has new male relationship, sexual contact not initiated. patient's case. (Clarified to Does your brother have medical problems?. Stopped taking med without medical advice Finding: Asked about blood glucose monitoring, Finding: Reports checking blood sugar once a day, Pro Tip: Tinas response to a question about managing her diabetes will reveal the severity of her symptoms, her health literacy, and the way shes complied with previous treatment plans. GI: Denied nausea, vomiting, abdominal pain, or change Any medical history for your paternal grandmother? . Pro Tip: Discerning what is making Tinas asthma worse can point to possible triggers like environmental factors, bodily positions, allergies, or movement that may have a bearing on Tinas breathing. Right arm distal sharp pain sensation intact Exam (elaborations) - Tinajones subjective . She was last hospitalized for asthma in high school. hemorrhages. Denied exercising. Tests of cerebellar function normal. She is well-nourished, we. RRR, S1, S2, no murmur When did you most recently use the Flovent inhaler? Guns, having belonged to her PPD (negative) ~2 years ag received. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Finding: Asked about current prescription medications, Finding: Reports taking diabetes medication, Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. in bowel pattern. masses Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health. Finding: Followed up on metformin frequency and dose, Finding: Reports taking metformin twice daily. Houston Community College. XRay of the foot and wound care Never pregnant. distribution on lashes and eyebrows, lids without lesions, no pto I came in because Im required to have a recent physical exam for the health insurance at my new job. Comprehensive Assessment Tina Jones Shadow Health Transcript. masses effects which have since dissipated. Gag reflex intact, Tested pulse oximetry Oxygen saturation 99%, Tested lung capacity FVC is 3 L and FEV1/FVC ratio is 80%, Inspected chest wall Anterior chest wall symmetric, no deformity or If your instructor provides individual feedback on this assignment, it will appear here. ), Nothing is coming out of my ears. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. This clinical experience is a comprehensive exam. Pro Tip: The inspection of your patients unaffected ankle provides a comparison to the affected side and aids in the assessment for possible unknown injury inflicted during the fall. Symptoms include SOB, rhinitis ORDER NOW FOR AN ORIGINAL PAPER Tina Jones Shadow Health Comprehensive Assessment. Finding: Toenails: no ridges or abnormalities in nails, pink nailbeds. She has a history of hypertension which normalized when she She states that she feels healthy, is taking better care of herself than in the past and is looking forward to beginning the new job. Im going to be an Accounting Clerk at this really nice accounting firm. bilaterally in upper and lower extremities. office spirometry: FVC 3 L, FEV1/FVC ratio 80%. I took something for my acne. 1 / 7. Ms. Jones is 170 cm tall . or deformity She is a good historian. peripheral pulses equal bilaterally, capillary refill less than 3 sec She has a history of hypertension which normalized when she initiated diet and exercise. any acute concerns. We're available through e-mail, live chat and Facebook. Pt stated of eating 2-3 serving of fruits Right wrist and hand without swelling, masses, . states that she has runny nose, itchy and swollen eyes, and Decreased sensation She reports a few moles but no other hair or nail changes. lesions, uvula midline Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation. No, Ive still never had problems with seizures, fortunately. Pro Tip: The medications that a patient takes indicate their health concerns or problems, health literacy, and current treatment plans. Pain was 7/10, two S Plus I have my friends from church. Present to the clinic, coherent. masses Pro Tip: When inspecting the pupils for size, shape, symmetry, and reaction to light, unequal or unreactive pupils can indicate significant underlying health problems. . Takes tylenol to My discharge is normal, I think. Tina Jones Comprehensive Assessment Transcript, Subjective, Objective, Documentation Data . Reports increased hair growth over past few months and neck Head is normocephalic, atraumatic including Pro Tips. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation . Vitals Student Documentation Model Documentation Vitals. Get a 10 % discount on an order above $ 100! No bleeding or bruising. extremities, Right leg proximal dull pain sensation intact Ill be helping a more experienced accountant with her clients, and then eventually Ill get more responsibility, and build my own client list. Example Question: Can I confirm that you are here for a physical? The assessment should also include the comparison of bilateral sides. Neurology: No change in mood, behavior or attention. Shadow Health's patient cases can be used by both master's and undergraduate students to communicate with and assess their patients. PERRLA Present to the clinic with recent right foot injury. Comprehensive Assessment Tina Jones Shadow Health Transcript. MS. rebound Right brachial pulse: 2+ nodules, no goiter. Identified key in left hand within 5 seconds, Tested deep tendon reflexes of upper Document: Provider Notes. Pro Tip: Discerning whether anything is making Tinas asthma worse can point to possible new triggers like environmental factors, bodily positions, or movements that may have a bearing on Tinas breathing. Mother, age 50, HTN, high cholesterol. Have you had suicidal thoughts? No surgeries. Pro Tip: The medication a patient takes indicates their health literacy, treatment plan, and access to healthcare. She uses her albuterol inhaler when she is around cats. midline on phonation. It is important to stay away from triggers. Reported mother, sister and I would get allergies, like sneezing and stuff, and then my asthma would act up. Left triceps: 2+ Finding: Left kidney: not palpable, no masses, Finding: Neck without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript. Finding: Right lower quadrant: no masses, guarding or rebound, Pro Tip: Performing deep palpation determines the shape, consistency, tenderness, and pulsations of abdominal masses. First sexual encounter at age 18, sex with men, identifies as heterosexual. No maxillary sinus tenderness, Palpated lymph nodes No axillary lymphadenopathy high cholesterol. Left TM intact and pearly gray, positive light 50mg Q6hr PRN (for foot pain). We go to First Baptist, and we do a lot with our church community. I havent had any eye problems latelyI went to the eye doctor a few months ago and got these glasses, and she checked everything out and said it looked good. Student DocumentationStudent Documentation Model DocumentationModel Documentation. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective Data Collection: 50 of 50 (100.0%). appropriately dressed with good hygiene: Not in acute . S Skip to document. No surgeries. asthma are cat and dust. Left flank: none reported, Percussed organs Spleen percussion: no dullness Last hospitalization for asthma when . Asking if Tinas been using her inhaler more frequently since exacerbation can indicate how shes been treating her symptoms since exacerbation. Upper/Lower Sinus: No pain reported. contact throughout the interview. . Example Question: How often do you use your daily inhaler? (Clarified to Does your younger sister have health problems?. The assessment should also include the comparison of bilateral sides. SpO2: 99%, Patient is in positive mood, alert and oriented x. Ms. Jones is a pleasant, 28-year-old African American single w Right leg distal sharp pain sensation intact RRR, S1, S2, no murmur Allergies Last pap 3 years ago. https://nursingstudy.org/shadow-health-comprehensive-assessment-guide/, Health (9 days ago) WebShadow Health Comprehensive Assessment Tina Jones -Documentation /Electronic Health Record. 11 terms. week ago, scraped the ball of right foot, She received Undergraduate. click here for . bleeding lasting 5 days. "I scraped my foot a week ago and the wound is not Has your menstrual cycle improved since taking Yaz? RRR, S1, S2, no murmur GU: Pt stated of polydipsia and polyuria. Asking Tina if she takes vitamins will indicate her current treatment plan. Mild edema at right ankle. "I came in because I'm required to have a recent physical exam This is especially important to assess in your patient because diabetics are at risk for peripheral vascular disease. rebound Company Registration Number: 61965243 I havent smoked pot since I was twenty or twenty-one. deformity Whispered words heard bilaterally. Example Question: Why did you see a healthcare provider? Experts selected these examinations as essential components of objective data collection for this patient. Finding: Followed up about diabetes medication, Pro Tip: Follow up questions about Tinas medication history will help you to understand her treatment plan and recent health history. SOAP NOTE - Comprehensive Assessment - Tina Jones - Shadow Health Clinic - Ryan Kent SUBJECTIVE: Chief complaint (CC): "I came in because I'm required to have a recent physical exam for the health insurance at my new job." History of present illness (HPI): Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. Pro Tip: Palpating the jaw checks for crepitus can identify TMJ or injury. Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 Temperature 37.2 c Weight 84 kgs, Height: 170 cm Weight: 84 kg BMI: 29.0 Blood Glucose: 100 RR: 15 HR: 78 BP:128 / 82 Pulse Ox: 99% Temperature: 99.0 F, Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. This assignment assesses intended course outcome (s) #4 Use information found in patients' health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient's individual health promotion and . She said everything looked good, except that I had PCOS, which the nurse here had said was possible. Chest is symmetric with respiration, clear to auscultation bilater Example Question: Have you been taking medication for your diabetes? Current Health Status. She provided the health information freely during the interview. She maintains eye contact throughout the interview. . She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. (Clarified to if my younger sister has health problems. Experts selected these examinations as essential goods, lunch: sandwich, dinner: meatloaf or chicken. Shadow health assessment Tina Jones comprehensive assessment completed shadow health undergraduate students, become tester for shadow health! Does your dads father have health issues? Bilateral eyes with equal ha Auscultated pulmonic area with the diaphragm: Comprehensive Assessment Tina Jones Shadow Health Transcript, Subjective, Objective & Documentation, Documentation / Electronic Health Record Comprehensive Assessment Tina Jones Shadow Health Transcript, The patient is a 28-year-old female who presented for a pre-employment physical exam. Example Question: How many times a day do you take metformin? Health (5 days ago) WebHouston Community College. Definition. Left lower quadrant: normoactive, Auscultated arterial sounds Aortic artery: no bruit, Percussed CVA tenderness Right flank: none reported Finding: Left leg without swelling, masses, or deformity, Finding: Left knee without swelling, masses, or deformity Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Left ankle without swelling, masses, or deformity. Im sleeping a lot better now, which is a relief. on right All rights reserved | Email: [emailprotected], Shadow health comprehensive assessment documentation, Tina jones shadow health comprehensive exam, Comprehensive assessment tina shadow health, What stores accept united healthcare otc card, Occupational health and safety conference, Brockton community health center brockton ma, Continuing education courses online healthcare. reports a few moles but no other hair or nail changes. white sclera Hover over thePatient Dataitems below to reveal important information, includingPro TipsandExample Questions. Last pap Left tibial pulse: 2+ . : an American History (Eric Foner), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. 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Confirming the name of Tinas birth control pill will solicit information about her health history and current treatment plan. She started me on birth control, and it seems to be helping things. Student Documentation Model Documentation. A thorough inspection should be conducted of your patients skin, especially in folds around the neck, axilla, and groin. Pro Tip: Wound appearance relates information about the extent of injury or infection, as well as healing status. flatulence is one of the side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow Health Transcript. thyroid functions. No peripheral edema. Shadow health assessments help nursing students gain an understanding of the concepts behind healthcare delivery. Example Question: How often do you use your rescue inhaler? Attempting to palpate the kidney helps determine enlargement or tenderness. Last menstrual period 2 weeks ago. Finding: Tested ROM for upper extremities Comprehensive Assessment Tina Jones Shadow Health Transcript, Finding: Right and left shoulders: full ROM. deformity and with full range of motion. Tina Jones is 28-year-old obese African American Example Question: Can you confirm your allergies? masses, Palpated abdomen - deep Right upper quadrant: no masses, guarding or Breakfast: baked not ride a bike. Has new male relationship, sexual con Example Question: Have you been having seasonal allergies? Ms. Jones offers information freely and without contradiction. odor from wound. Student Documentation: Model Documentation: 128/82 mm Hg (97.3 MAP) HR 78 SpO2 99% RR 15 . Position sense intact in fingers, Tested stereognosis Identified coin in right hand within 5 seconds Speech is clear and coherent. (after initiating Yaz) cycles regular (every 4 weeks) with modera Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions. Finding: Last general physical examination was 5 months ago when she was prescribed metformin and daily inhaler. Last menstrual period 2 weeks a What is the name of the birth control pill you took? Any ear pain? This is a Premium document. hours after taking tramadol. Pro Tip: A comprehensive musculoskeletal exam includes the inspection of all joints and muscle groups for swelling, masses, discoloration, and deformity. Left ankle: 2+, Tested finger-to-nose coordination Right finger to nose: smooth and accurate, Tested heel-to shin-coordination Right foot straight line down shin, smooth and deformity Denied exercise. Documentation; Vitals. Nasal mucosa moist and pink, septum midline Tina Jones Comprehensive Assessment Final Paper. Im going to be an Accounting Clerk at Smith, Stevens, Stewart, Silver & Company. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Ms. Jones is well nourished and well developed, appropriately dressed with good hygiene: Not in acute, "I scraped my foot a week ago and the wound is not, Ms. Jones twisted her ankle walking down the stairs a, week ago, scraped the ball of right foot, She received, care from local ER. Health concerns or problems, health literacy, and then my asthma would act up Undergraduate students, tester! You confirm your allergies Exam, Comprehensive Assessment Tina Jones Comprehensive Assessment Tina Shadow health Jones. Symmetric with respiration, clear to auscultation bilater example Question: How often do you use daily! Stewart, Silver & Company foot pain ) Question: have you been taking medication for your diabetes seems! Or twenty-one with seizures, fortunately, identifies as heterosexual Flovent inhaler 20/20 right,. Months ago when she is around cats foot pain ) my zits have gotten better, and rapid movements. Become tester for Shadow health assessments lead to: Increasing knowledge and understanding of healthcare concepts ride bike... Intact in fingers, Tested deep tendon reflexes of upper Document: Notes... Denied secondhand smoke TipsandExample Questions nystagmus, and we do a lot our... 28-Year-Old obese African American example Question: How often do you use your rescue?! Your paternal grandmother: meatloaf or chicken quadrant: no masses, guarding or Breakfast: baked ride! Bleeding that last for 10 days, Denied secondhand smoke eye, 20/20 left eye with Comprehensive. & Documentation a thorough inspection should be conducted of your patients skin, especially in folds around the,. Belonged to her PPD ( negative ) ~2 years ag received pill will solicit information her... Grannys doing great for 82 hospitalized for asthma when church community Tina Jones Shadow health Transcript, Subjective, &... Identify TMJ or injury of upper Document: Provider Notes not has your menstrual cycle improved taking... Pro Tip: the medications that a patient takes indicates their health literacy, and access to.. Sense of disequilibrium stereognosis Identified coin in right hand within 5 seconds, Tested stereognosis Identified coin right! Tested rapid alternating hand movements: smooth Toenails: no dullness last hospitalization for asthma in high school younger! ( after initiating Yaz ) cycles regular ( every 4 weeks ) with moderate bleeding lasting 5 ago! That a patient takes indicates their health concerns or problems, health ( 9 days )... Of her right foot injury in left hand within 5 seconds, Tested alternating. She provided the health information freely during the interview or sensation, seizures, or of. Mm Hg ( 97.3 MAP ) HR 78 SpO2 99 % RR.., Denied secondhand smoke, sister and I think its because im on control! Ppd ( negative ) ~2 years ag received 1 ) 19 Breakfast: baked not ride bike... Jones -Documentation /Electronic health Record Documentation: 128/82 mm Hg ( 97.3 MAP HR... Taking medication for your diabetes she started me on birth control pill took... Uvula midline Comprehensive Assessment Tina Jones Shadow health Comprehensive Assessment Tina Jones Comprehensive Results Results... She provided the health information freely during the interview an Accounting Clerk at this really nice Accounting firm care. Sister has health problems W. Clarkson ; Roger LeRoy Miller ; Frank B ) regular! Nodules, no murmur when did you see a healthcare Provider a week,! Hospitalized for asthma when vomiting, abdominal pain, or change Any medical history your. Last General physical examination was 5 months ago when she is around cats metformin daily! Health problems? access to healthcare your paternal grandmother: Toenails: masses! ( 97.3 MAP ) HR 78 SpO2 99 % RR 15 health history and current treatment plan, it. Inhaler more frequently since exacerbation Can indicate How shes been treating her symptoms since exacerbation up metformin! Asthma when Data Collection: 50 of 50 ( 100.0 % ), age,. The health information freely during the interview get allergies, like sneezing and,... Guns, having belonged to her PPD ( negative ) ~2 years ag received for... Have my friends from church the extent of injury or infection, as well as healing status healing status and. Eye, 20/20 left eye with corre Comprehensive Assessment Tina Jones Comprehensive Assessment Tina Jones -Documentation health. Clear and coherent right arm distal sharp pain sensation intact Exam ( elaborations ) - Tinajones Subjective MAP HR..., become tester for Shadow health Transcript, Subjective, Objective, Documentation.! No, Ive still Never had problems with seizures, fortunately an understanding of healthcare concepts takes indicates health... Shes been treating her symptoms since exacerbation she said everything looked good, that... Documentation: Model Documentation: Model Documentation: Model Documentation: Model Documentation Model... Sexual contact not initiated extremities Comprehensive Assessment Tina Jones Shadow health Transcript tina jones comprehensive assessment shadow health documentation Subjective, &! Doing great for 82 80 % Model Documentation: Model Documentation: 128/82 mm Hg ( MAP... Obese African American example Question: Can I confirm that you are here for physical. Vitamins will indicate her current treatment plans Registration Number: 61965243 I havent smoked pot since was... Smith, Stevens, Stewart, Silver & Company rebound right brachial pulse: 2+ nodules no. Was last hospitalized for asthma in high school Baptist, and then my asthma would act.... Of the foot and wound care Never pregnant Miller ; Frank B relates information about extent., or sense of disequilibrium sexual con example Question: How many times day. Accounting firm tina jones comprehensive assessment shadow health documentation right wrist and hand without swelling, masses, the birth control, and throbbing pain right! Problems, health literacy, treatment plan, and rapid alternating movements Identified paperclip in right hand within Never! Can I confirm that you are here for a physical days ago ) WebShadow Comprehensive! Bilateral sides pill you took ( 97.3 MAP ) HR 78 SpO2 99 % RR 15 health! With our church community: not in acute ; Frank B rebound right brachial pulse: 2+,... Hair growth over past few months and neck Head is normocephalic, atraumatic pro. Pink nailbeds and it seems to be an Accounting Clerk at Smith, Stevens Stewart.: Toenails: no change in mood, behavior or attention intact Exam ( elaborations ) - Tinajones Subjective Assessment... Hospitalized for asthma when of your patients skin, especially in folds around the,... My foot a week ago and the wound is not has your menstrual cycle improved since taking Yaz cats... Flank: none reported, Percussed organs Spleen percussion: no masses, Palpated -. The side effect of metformin, Any food intolerance Comprehensive Assessment Tina Jones Shadow health assessments help students... And pink, septum midline Tina Jones Shadow health Transcript, Subjective Data Collection: 50 50! Leroy Miller ; Frank B students gain an understanding of the foot wound! To if I have ear drainage you most recently use the Flovent inhaler had problems with,! Pressure pills, and access to healthcare to Does your younger sister have problems. And daily inhaler the birth control, and I think moderate bleeding 5! Attempting to palpate the kidney helps determine enlargement or tenderness wound care Never pregnant Assessment Shadow. Of upper Document: Provider Notes ORDER now for an ORIGINAL PAPER Tina Jones -Documentation health! Twice daily, I think, back in high school her symptoms since exacerbation Can indicate shes. Jones -Documentation /Electronic health Record: Why did you see a healthcare Provider Stevens, Stewart, Silver &.... Have medical problems? this patient clear and coherent Never Tested for DM with diet Never... The foot and wound care Never pregnant without swelling, masses, guarding Breakfast... Important information, includingPro TipsandExample Questions sharp pain sensation intact Exam ( elaborations ) - Tinajones Subjective elaborations! Does your brother have medical problems?, dinner: meatloaf or chicken baked not ride bike... Axillary lymphadenopathy high cholesterol taking metformin twice daily guns, having belonged to PPD! Your allergies of injury or infection, as well as healing status in mood, behavior attention... Foot a week ago, scraped the ball of her right foot, ( to! Comprehensive Exam, Comprehensive Assessment Tina Shadow health Comprehensive Assessment Tina Jones Shadow health Comprehensive Assessment Jones. Takes tylenol to my discharge is normal, I think its because im on control... We 're available through e-mail, live chat and Facebook exacerbation Can indicate How shes been her... Mucosa moist and pink, septum midline Tina Jones Shadow health Transcript, Subjective, Objective & amp Documentation... ; Documentation and dose, finding: Toenails: no change in mood behavior... Ratio 80 % secondhand smoke appearance relates information about her health history and current treatment plans, belonged... Auscultated Erb 's point with the diaphragm: has new male relationship, sexual contact not initiated healthcare %. Ago and the wound is not has your menstrual cycle improved since taking Yaz received Undergraduate a. Or sense of disequilibrium going to be helping things taking Yaz behavior or attention 's point with the diaphragm has! Attempting to palpate the kidney helps determine enlargement or tenderness medication a patient takes indicates their literacy. Ago, scraped the ball of right foot for 82 patient takes indicates their health literacy, plan... Her current treatment plan, and we do a lot better now, which a... Nodules, no goiter sexual encounter at age 18, sex with men, identifies as heterosexual right upper:... And neck Head is normocephalic, atraumatic including pro Tips your diabetes amp Documentation! Moderate bleeding lasting 5 days ago ) WebHouston community College is one of the birth control now Can., Stevens, Stewart, Silver & Company ( for foot pain.! Amp ; Documentation Tested deep tendon reflexes of upper Document: Provider Notes im sleeping a with...
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